A nurse is assisting with the ambulation of a client with the use of a gait belt, who becomes light-headed and begins to fall. Which of the following actions should the nurse take?
extend one leg and allow the client to slide down the leg to the floor.
move both feet together when the client begins to fall
wrap both arms around the client's arm and shoulders
protect the client's extremities while lowering them to the floor.
The Correct Answer is A
A. Extend one leg and allow the client to slide down the leg to the floor.
It helps to control the fall, protects the client from injury, and allows the nurse to safely guide the client to the floor without using excessive force.
B. Move both feet together when the client begins to fall.
Keeping the feet together reduces stability and increases the risk of both the client and nurse falling.
C. Wrap both arms around the client's arm and shoulders.
This could cause injury to the client’s upper body and doesn't provide support for a safe fall.
D. Protect the client's extremities while lowering them to the floor.
While protecting extremities is important, the nurse’s primary action should be to use proper body mechanics (like extending one leg) to safely lower the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Palms only.
Using palms distributes pressure evenly and prevents indentations in the wet cast that could lead to pressure sores.
B. Palms and flat parts of fingers.
Using palms is safest; fingers can still create indentations if not careful.
C. Fingertips and flat parts of fingers.
Fingertips can leave dents in the soft plaster, which may cause pressure points and skin breakdown once the cast hardens.
D. Fingertips and palms.
Fingertips should be avoided entirely when handling a fresh cast.
Correct Answer is A
Explanation
A. Abduction:
Abduction refers to movement of a limb away from the midline of the body, such as raising the arm from the side outward and upward.
B. External rotation:
This refers to rotating a limb outward along its axis, not raising the arm overhead.
C. Internal rotation:
This refers to rotating the limb inward, which is not the action of lifting the arm above the head.
D. Adduction:
Adduction refers to moving a limb toward the midline, the opposite of abduction.
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